at sfelections.org. remember, early voting is available at city hall on may 7, starting at 8:00 a.m., and if you don't vote early, be sure to vote, starting on may 5th. thank you. >> clerk: commissioner seriñá. commissioner lang and commissioner loo is excused and commissioner pappas. commissioner jeremy wallenberg. and please note that the executive director is present. >> thank you. we have amendments to the agenda. items k, l, m, n will not be discussed today and we're making the agenda shorter, please.

and item b is the approval of the fiscal year 2018-2019, and area plan update, not 2017-2018. with those two amendments may i have a motion to approve the agenda. >> so moved. >> a second? >> second. >> thank you. any comments or questions? all in favor? >> aye. >> any opposed? thank you. the motion carries. may i have a motion to approve the march 7, 2018, meeting minutes, please. >> so moved. >> do i have a second? >> second. >> any comments, questions? all in favor? >> aye. any opposed in the motion carryings. item 4, the director's report, shireen mcspadden. >> good morning, commissioners and i will make this brief since we have such a long agenda but i wanted to talk about a couple things. starting with federal government, i had the

opportunity to go to washington, d.c., a couple weeks ago to attend the national association of area agencies on aging board meeting. i think that you know that i'm an alternate for california on that board and i try to attend the meetings -- i try to attend all of the meetings because i think that it's really important. so we've got a really good rundown of what's happening at the federal level and i think that i talked about this last time but we did very well in terms of senior services for this budget year. there was actually -- it was kind of unprecedented the number -- the increases in older americans act funded programs and some of the other related programs. and it just was so surprising given what the administration initially was saying about cutting all of these services. so that was very exciting. on the other hand, you know, these programs are all under attack again for the next fiscal year. and so we have to be really be

vivigilant and continue to advocate at the federal level for these programs. i think that one of the things that is always great about going to washington is getting to visit with our representatives, either the representatives themselves or their aides. and we had a really good contingent from california. we all went together. we had san bernardino, sonoma county and l.a. and san francisco, we all went as a pack to visit finestein's office and then harris' office as well. and in particular i think that finestein's staff person, we didn't get to meet with her this time, but her staff person was really knowledgeable about these programs and that's always nice to see because often they aren't. so the that was really great. i think that the other thing that we got out of that was that there continues to be a focus on building business acumen within

the communities, within our community-based organization partners and all of that. so i want to bring some of that information back to our team and see if we can help leverage some -- like, say medicare dollars for new services that we're not currently funding, the dollars that are not currently coming into san francisco so it's an opportunity for us. at the state senior rally day which is something that the california association of area agencies on aging does every year, it will be held may 8 in sacramento and senior and disability action, it will organize buses or a bus to take older people and people with disabilities up there. it's a really -- it's really important to show numbers and so we -- this is the second year that we've funded senior disability action to do that and we're really grateful to them for taking this on. so if people are interested in attending they should contact

senior disability action as soon as possible so they can know how many people to plan for. and i think that, lastly, just a couple things at the local level. we have -- next week supervisor norman yee has called for a hearing on older adults and disability employment. and he's asked a number of departments to come present as well as some of our community-based organizations. in particular community living campaign. so it will be the department of aging and adult services and the office of economic and workforce development, human resources department, and the mayor's office on disability. we'll all be presenting on the needs of older adults and adults with disabilities with respect to employment and then we'll talk through some of our programs and what we're doing to support people in the workforce. and then i guess that lastly we have been asked to come to budget and finance committee meeting tomorrow to present on

the needs of seniors in san francisco and we don't have a lot of detail yet because i just got that invite yesterday but i just wanted to let you know that it will be happening as well. i think that is it for now. >> thank you, any comments or questions from the commission? one quick question, shireen, you said that we did very well with the federal programs, why do you think that was? >> when i met with nancy pelosi's main person in washington he basically said because -- because there were a number of republicans who wanted to raise the defense spending -- defense spending, that there was a lot of negotiating power on the part of the democrats who wanted to raise the nondiscretionary defense spending. and i think that it was really about that. but, you know, it kind of took us back to -- we had some cuts after 2010 that basically took

us back to those levels. still not where we'd want to see it but it was really kind of surprising, but that's why. >> thank you. any comments or comments from the public? hearing none. moving on the advisory council for leon schmidt. >> good morning, commissioners and commissioner director. the advisory committee met on the 18th and we welcomed a new member to the committee that will represent district 4. we had a presentation by mrs. margo antoinetteie with the department of support services. and that's pretty much it. i know that we are pressed for time so that was pretty much it for us. i will take your questions? >> thank you very much. any comments or questions? thank you. >> thank you. >> legislative committee report, diane lawrence. >> good morning, commissioners

and director seriñá. because of the length of the agenda i'll be brief and then i'll have more detail for brigette to provide to you. i'm combining both march and april really quickly and the commission had asked that we send a letter of support for the home safe program which is a one-time budget ask of $15 million from the general fund. and we sent that and that's going off and mailed. we did that right away at our march meeting. and we also sent a letter of support for protecting adult protective services personnel from having their d.m.v. records available with home addresses. so we talked about that before. and we have eight additional bills to the list. there were a few new ones that have been added. a couple have been deleted.

including senator wiener's housing bill which did not make it out of committee. i'm sure that you both saw that. you all saw that. and one bill was gutted and became the board of directors compensation for special districts rather than in-home support services. the report in our discussions in april, a lot of activity, a lot of wording changes and a lot of title changes. so i'll make that all available to you. >> thank you. any comments or questions for diane? any comments or questions from the public? hearing none, thank you very much, diane. and long-term coordinating council report. >> good morning, mihm i'm melissa mcgee, they did not meet in april so there's no report. >> okay. case report. >> good morning, commissioners.

greg moore with -- representing the coalition of agencies serving the elderly. i'll make this brief. we haven't given a report in two months. excellent presentations, when you get the report you will see the detail there. and i invite you to our membership meeting on the 14th and we'll have an update on the end-of-life option from reverend drake, so an excellent opportunity to see how this is rolling out as well as to learn about the detailing of that act. and advocacy has also and continues to be our theme. we're in high advocacy season. and have begun meeting with supervisors and will meet with the mayor's budget office and the mayor on our formal ask. i did want to publicly thank

d.o.s. for already making us successful with one of our elements in regards to infrastructure funding. while we didn't get all of the money that we asked for, we certainly made a good start towards that to helping our member agencies have up-to-date, safe, attractive and appealing facilities with which to serve their clients. so thank you for that. and with that in the interest of time i'll take any questions. >> thank you very much, any comments or questions from the commission? none. any comments or questions from the public? thank you very much. next i'll turn this over to commissioner wallenberg who will have the nominating committee report. >> thank you, good morning. a brief report from the nominating committee. we voted unanimously to reappoint commission president to another term in that role and we voted to appoint commissioner

katie loo as the vice president of the commission. and then appoint diane lawrence as the advisory council member and that's the gist. >> thank you. any nominations from the floor? hearing none, call the question on the nominations for president. all in favor? >> aye. >> any opposed? thank you very much. it is an honor and a pleasure, although not always -- [laughter]. i call the vote on commissioner katie loo as vice president. all in favor? >> aye. >> any opposed? thank you. and finally call the question on the advisory council member diane lawrence. all in favor? >> aye. >> thank you very much for the nominating committee. now we have general public comment. hearing none we will move on. any old business?

new business? community living six-month report and annual plan update. welcome carrie wong. >> i have the pleasure of presenting two reports today which is the community living six-month report for the time period between july and december 2018 and the annual plan for the fiscal year of 2018-2019. i recognize that we have a full docket today so my presentation will also be brief. i'm happy to answer any questions that you may have afterwards. and i know that this might be new to some of you so i'll give a brief overview of what the community living fund program is before going into the highlights. so in 2006, the community living fund was created to support aging in place and community placement alternatives for individuals who may require care within an institution. the program uses a two-pronged approach, coordinated case management and the purchase of services that are not otherwise available through any other

mechanism. and this is available to older adults and adults with disabilities. to receive c.l.s., individuals must be eligible based on their requirements and be at imminent risk of institution if not receiving the care. individuals transitioning out of skilled nursing facilities, including laguna honda have priority for the program. so we update the commission -- this commission and the board of supervisors every six months, detailing the level of services and the associated costs as well as presents an annual plan for the next fiscal year. and i'm presenting both today. so the six-month report for the period of july 2018 and december 2018, there's one thing they would like to highlight which is that c.l.s. transition six residents out of laguna hospital to a contract that was approved by this commission two months ago. and this totaled 10 laguna clients for the calendar year

and 13 clients if we include the others in san francisco. this is an important function of community living fund in that it not only helps to transition individuals within the community that can transition but also frees up the limited institution beds for those who really need it. and for the annual plan i'd like to highlight that the institute on aging will continue to draw down state dollars to offset the c.l.s. dollars from the local funds. in late -- february 2018, the institute on aging was awarded to be the designated waiver agency in san francisco for the new mehdicall waiver from the department of health care services. and so this will -- individuals that are on the previous in-home operations waiver will transition to this new waiver. so this concludes my report and i'm happy to address any questions that you might have. >> thank you very much, carrie. you covered a lot and the report is very thorough and

encouraging. any comments or questions from the commission? >> i have one. it was looking at the wait period for case management services, it seemed like two months -- can you hear me -- i was concerned about the wait time. we have 51 days and i thought that was a long period. any thoughts on how we can speed that up? >> yeah, there were some transitions with some of the staff and that accounts for this wait time for this period. and also it depends on what the needs are. sometimes when there's individuals transitioning out of institutions like laguna honda, part of that wait time is because we need -- those individuals need to be ready before they discharge them and that takes time to manage. >> fair enough. thank you. >> commissioner wallenberg did you have any comments? >> i have a quick question as well. regarding referrals in the community, it was low at 6%, which is disproportionate with the overall pop iewmgulation inn

francisco and i wanted to check to see what we might be doing to improve that number? >> it's been brought up at previous commissions and we have also been working on that. the main reason -- as you might recall in the previous period that it did go up and we had been working on doing outreach and there was also -- there were staffing changes that didn't have mandarin speaking workers and they came on board and then that person went out on leave. so during that time there's other people covering and they are translating but as you might also be aware that there are issues for getting individuals that speak multiple languages. so where they're covering during the time period and that person should be back pretty soon and during the next reporting period i anticipate changes. but the other piece too is that it draws attention for me is that maybe there needs to be more than one person. so the things that we're aware of and we're working on and trying to get a more reflective

-- um, staffing for the population. thank you. >> suhr, thank you. >> any other comments or questions from the commission? any questions or comments from the public? thank you very much, carrie, it's a very thorough report. item c, review and approval of the fiscal year 18-19, c.d.a.-122 area plan budget associated contract a.p.1819-06. and all subsequent amendments. did i skip something some. >> clerk: item a. >> of course. i'm sorry. i am just jumping ahead. so review and approval of the dignity fund community needs assessment. thank you, melissa mcgee. >> good morning, president seriñá and commissioners and director mcfadden.

i request your approval of the community needs assessment as a follow-up to the public hearing that was held on april 4th. and proposition i outlined a planning process to begin in fiscal year 17-18 and repeat every fourth fiscal year. this community needs assessment represents the start of this planning process. the findings from the needs assessment will inform the service and allocation plan developed in the suc subsequent year. and all oversight and advisory committee members and commissioners receive both the complete assessment as well as the executive summary. the report has also been distributed widely throughout the community -- excuse me -- and it's posted on the website. the dignity fund oversight and advisory committee discussed the report following a presentation by the consultant r.d.a. at their march 19th meeting and this meeting was open to the public as are all o.a.c. meetings.

a public hearing with the commission and the oversight and advisory committee was held on april 4th which included a presentation by r.d.a., the consultant, and questions and answers from commissioners and oversight and advisory committee members as well as public comment. key findings and recommendations are outlined in the executive summary and a more detailed in the full report with explanatory appendises. it's the first assessment done by the department that includes the gaps and equity analysis. that being said, there were a few areas where either the o.a.c. and/or the commission requested more information. our plan is to conduct further data analysis internally in these areas. we will work on communities of color and ethnic trends with the goal of a report by september 2018. we will also look at the lgbt information including the mandated sexual orientation

gender identity data with a goal of a report by november. we will also do further analysis on people with disabilities, including needs, utilization and trends, as well as caregivers, including limited english-speaking providers. so we're currently looking at resources to complete these and, therefore, a report date is to be determined. and then also just for your information this needs assessment will now inform our service and allocation plan for fiscal year 2019-2020 and we started internal discussions on that process. and if you are interested i'm happy to share and/or present that timeline and process once it's completed. thank you. >> thank you very much. any comments or questions from the commission? >> sure. i just appreciated the discussion last month and just the detail that you guys gave. as i was re-reading this today though i did have one question and it was about the -- i think that i'm reading this

correctly -- low-to-moderate folks participating at less the rate in the village model and the home delivery services. is that correct? am i reading that correctly? >> i would have to read this review. is it in -- >> sure. this is on -- the summary -- sort of the fourth -- the fourth page, table 1. just says low-to-moderate income to the leve left and it talks at participation rate. can you see it? >> in the executive summary? >> yes. the second bullet from the top.

>> good morning, commissioners, with the human services agency. yes, it does -- it does say this, for the village model i think that our sense is low-to-moderate, so maybe participating less given that is a membership-based model. for home builder and grocery, the data reflects more -- excuse me -- the analysis is reflecting more of an absence of data and we're missing information for a large portion of the home delivery grocery participant. so as we work on improving data collection across the board, across metrics, we'll take another look at this over the coming years and hopefully have a more accurate representation of the participation rates. >> i appreciate that. and it's in line with the questions about d10 in particular, because we have a population that is poor, below the poverty level, i'm not sure why they're not accessing

groceries so that's what is sticking in my head, but, thank you. >> any other questions, commissioner wallenberg. >> yes, just reiterate that it would be great to see the allocation plan once that process is coming together. >> yep, thanks. having participated on behalf of the commission in the meetings, i want to commend the way that the whole process was run and the excellent work that the consultants provided and, in fact, their work was so good that it led to frustrations because they gave us quite a bit of data but not as much as we wanted and it led to more questions. but they have confirmed what i imagine that everyone in this room knows that there's a great need out there and that many of the existing programs aren't addressing those needs or not addressing them to different communities. and one of the purposes of the dignity fund was to come up with

innovative programs and innovative outreach. i think that we have a roadmap to get there. we probably don't have enough money to do the job the way that we'd like to but we do know what we are facing and we know who needs our help. i think that is a huge, huge achievement. and so everyone who has participated on the dignity fund should feel very proud of their contribution. thank you, melissa, for chairing it. any comments or questions from the public regarding the dignity fund? okay. thank you again. now review and approval of the fiscal year 2018-2019, c.d.a.-1-22 area plan budget -- i'm sorry, i'm doing a great job today. [laughter] i am so glad that you confirmed me as president.

and going back to item a, do i have a motion to approve the dignity fund as presented by melissa? >> so moved. >> second? thank you. any comments or questions? any comments or questions of the public. all in favor? >> aye. >> any opposed? thank you. we'll get through this one way or another. too bad that the commissioner loo isn't here and i could turn it over to her. [laughter] item c, no one wants this, that's it. don't take it personally, rose. >> we're on item b. item b. >> i'm sorry? >> it's item b, commissioner. >> what did i say? >> c. >> i'm sorry. item b, review and approval of the fiscal year 2017-2018 area plan update for submission to the california department of aging. shireen and rose, you're on at last. >> thank you, thank you.

good morning again. i am rose johns from the human services agency and i'm presenting today with director mcspadden for the fiscal year 2018-2019. and we'll start with an overview of the area plan and highlight key sections for you. as you have heard before, we're all i think trying to keep these presentations brief and we know that you have a full agenda but we're happy to answer any questions that you have. so the area plan is a requirement of the older americans act. as you know the older americans act provides funding for community-based services that help seniors live and engage in their communities. the department of aging and adult services is the local area agency on aging for san francisco. in that role we are required every four years to submit an area plan to the california department of aging. in the interim years we provide an update which is what we have

brought before you today. the plan basically outlines the population needs and how the department plans to address those needs using the older americans act funding. and as we talk about this, please bear in mind -- i'm sorry -- can you hear me okay? >> you're fine. >> as we talk about this plan, please just bear in mind that we're talking about $5.5 million in funding from the older americans act dollars. as context overall, there's about $60 million in community-based services. so this is a significant portion of the department's work but it certainly isn't everything that the department is doing directly and through community partners. so we're currently in the four-year planning cycle for 2016 through 2020. and as you can see here we're about halfway through that process. we're working on the area plan update for fiscal year 2018 2018-2019.

our next opportunity to do a full four-year plan will be in 2020, when we prepare the 2020 through 2024 area plan. and then what we have here is our timeline for this year's process. and as you can see the area plan update is actually was due yesterday to the state. and we have plans to come to you last month to present the report. we have notified the state that the report will be late and hopefully we'll be able to send it today. if you approve otherwise, we'll send it next month. we worked with the advisory council over three months to review the area plan update and to talk about what the department has been working on. and then we also just wanted to remind you what the key components of the area plan update are. what you see on this slide are the sections that we are required

so one of the sections that we're required to provide an update on is the population estimates for the low-income population and to look at ethnicity as well. in san francisco we have about 172,000 residents, aged 60 or older. on the right is a chart that depicts the low-income population and as you know well we see that minority groups are overrepresented by seniors in san francisco. another key section is the unit plan objective which is the state's term for anticipated service levels. overall we have an increase for unit levels staying the same. and there's a lower level that we anticipate this to be the level of nutrition counselling. after going through contract negotiations it shifted to provide more nutrition education and nutrition counselling units came in lower than we had anticipated at the time that we completed the report. we're still waiting for the high cap units, those ones are set by the state and that's the medicare counselling program.

i want to clarify one piece, this should be in the packet that you received behind the powerpoint slides. since we sent out the draft report we got the budget from the state for next year and i'm not going to go into detail on that. alex will come up to talk to you about that in a moment. so there's an increase in delivering for home meals so we have increased that by 36,000 meals. so that's the number that is in the single page addition that you received in the materials this morning. that's it for me and i will turn it over to director mcspadden. >> thank you, rose. so we essentially had four main goals and we have a number of objectives so what we do is we highlight a few of them because you can read them on your own but it would take a very long

time for us to go through all of them so we wanted to just highlight a few. so in the first goal which is to improve quality of life, i wanted to highlight the work that we're doing in aging and disability friendly san francisco. in 2017-2018, the task force completed its assessment process and prioritized about 24 recommendations that the city could do to make san francisco an inclusive place for older people and people with disabilities. and i think that we brought that down from 200 something recommendations. so there were a lot of recommendations that were really fantastic but we realized that we needed to not bite off more than we could chew. so we had 24 recommendations and now there is an implementation work group that will be systematically working through these recommendations and helping the city to achieve some of the objectives that we have laid out. for instance, there's some

around older adult employment and things like that, so we will work on those as a group. and the work of the aging and disability friendly task force is summarized in action plan report, and we should have that somewhere mid-summer or the end of the summer. and we will be presenting that to you. and the second goal is to establish better coordination of services and we wanted to highlight our dementia care work and we're particularly we've got three kind of different projects going on simultaneously. and one is -- we are in year two of administration for community living grant that we are in partnership with the alzheimer's association on and it is the san francisco alzheimer's disease initiative specialized supportive services project.

it supports caregivers of people with intellectual disabilities and the chinese community and isolated seniors in low-income housing through an evidence-based program called savvy caregiver training. and the second thing that we're doing is is the dementia oversight committee is trying to work with the emergency departments and in particular right now we have partners and associates that are very focused on making the city better for people with dementia and very interested in working with the emergency departments so they can better serve people with cognitive disabilities and dementia. so that's all second thing that we're doing. and then the third is we're working with optimizing aging collaborative which is ucsff and we're developing screening tools for cognitive and impairment and

depression and they're helping to train our staff on these tools so they're better able to serve people in the community. and the third is increased access to services and in that one we wanted to highlight the rental assistance project that we have. we have -- in 2017-2018 we partnered with six organizations to administer 20 contracts for supportive services and service connections to seniors and people with disabilities living in public housing. nine of those sites are undergoing rebuilding, and so one of the things that happens often when people are living in construction areas is they tend to not come out of their apartments. so this program really helps people get out and to engage with others. that's really the goal of this program is to really ensure social engagement of people living in those sites. and then the fourth is community-based case management

-- sorry, improved service quality and we wanted to highlight the community-based management program. about a year ago we developed a centralized intake and wait list system for our office on the aging case management. we continue to work with the community providers and our intake unit to refine this system and to provide technical assistance to our community-based organizations. but what we really wanted to do is to make sure, one, that we had a way to really catalog who needs case management, where the open slots are, to pay attention to language needs and things like that. and we didn't have a coordinated way to do that when we didn't have a centralized system. so while we still are working out some kinks we're really happy that we have that system in place. it parallels our home-delivered meals wait list system. and then in 2018-2019 we'll have new performance and outcome

measures to better measure the impact of our case management program. so those are the four areas that we wanted to highlight and we'll try -- if you have questions about the others we'll be happy to try to field those too. >> thank you. any comments or questions from commissioners? commissioner wallenberg? and i have specific questions but go ahead, commissioner. >> i had several questions as well. and so a quick question, in regards to service levels, were there some decreases and some increases and some stay the same? so that's based off of not necessarily -- i guess in terms of need -- knowing that the need is going up, for example, with adult protective services and elder abuse yet the service plan numbers don't change? that's not necessarily based on actual number of clients being served and that could be based on other factors? >> right. and i think that the main thing to remember and rose pointed this out earlier is that this is a small portion of our aging

budget. it's $5 million essentially. and so, you know, we have to adjust the numbers to make it right with the state because that's what they fund us for. but it doesn't really mean that we're not, you know -- it's not representative of the entire budget. >> i had a similar concern. so i think that, therefore, it's fair to say that -- because there appears to be no change in issues around transportation and elder abuse, it doesn't mean, in effect, that those needs have not increased. i think that is important to make clear. and also the mixed results for the long-term care ombudsman. again, as the population ages it seems to me that those requirements and those needs will increase with it which would be reflected in our overall programs. and i just wanted to comment regarding the dementia task force. yesterday's "the new york times" had an article by jane brodie in the science section regarding

legislation going on in new york that has produced a foru form fr people to complete before they suffer from dementia. and it is to address their wishes for dementia care. and one of the big problems that often happens is without specific instructions, feeding continues, even when the person with no longer swallow. and that feeding results in aspiration of food and all kinds of problems that require emergency hospital treatment. and so i think that it's very important that we reach out to seniors in -- that we're serving and anybody that we know at any age to look at setting up their own requirements so that doesn't happen to them unless it's what they want. and i think that it's very important. >> i agree. and one of the focuses of

"reimagine week" two weeks ago was really about advanced care planning and making sure that everybody has that in place. so i agree. it's really important. >> thank you. any other comments or questions? commissioner wallenberg. >> thank you. with regard to the ombudsman program. so it talks about the lgbtq rights and long-term care facilities that we're looking at rolling out that training. i'm just curious on what the timeline would be for rolling out that training? and in addition we also talk about chinese language capacity in house and having recruitment of volunteers who are chinese speakers. and just also wondering on the timeline when that might be part of that program? >> good morning, commissioners. as far as the long-term care and lgbt handbook that is in process now and we're working on drafts

with a plan to roll out the handbook with the actual training in the next six months. six months to a year to get that fully up and running. as far as chinese language staff and volunteers with the ombudsman program, that's sort of an ongoing effort. they always try to keep -- within paid staff to make sure that language is -- is kept. and also to make sure that they are within their outreach plan to recruit volunteers are looking for those folks. so kind of an ongoing thing, as volunteers come and go. >> sure, thank you. >> thank you. any other comments or questions? any comments or questions from the public? hearing none -- yes, please come up. >> i know that you have a full agenda in the last two days so i'll keep it short. but our director program

ombudsman, i drilled down on the measures for this particular fiscal year and we do have six f.t.e. but they're -- mostly of the chinese or cantonese speaking people and the ombudsman that we pay are per diem and they're covered under this kind of revolving o.t.o. or one time only -- money. in fact, the most o.t.o. money was made available to us on carbon two months ago. so there's a lot of kind of time lag with the o.t.o. but we do have at this rate three cantonese-speaking, mandarin-speaking ombudsman to adequately address in a fairly quick response the phone calls and issues affecting that particular population. and so our challenge now is to get everyone in the ombudsman office to actually enter data, if it's not entered it's not counted and it's an elaborate

system created by the department of aging. so our numbers drop per cases but went up in consultations because we have a new requirement that we have to get consent in order to proceed and a lot of our clients are unable to give consent. so they shift the consultation away. and so there's a lot of detail in our little write-up. so any further questions please contact me or invite me to an advisory council meeting or something like that. thank you. >> thank you. any other comments or questions from the public? hearing none, calling the question. all in favor of approving the area plan update and sending it on to the california department of aging and adult services? all in favor? >> aye. >> any opposed? thank you. the motion carries. thank you very much, rose and shireen. okay. item c, review and approval of

the fiscal year 2018-2019 c.d.a.-122 area plan budget, associated contract ap-1819-06 and all subsequent amendments. welcome alex gleason. >> good morning, president seriñá and commissioners and executive director mcspadden. what is before you this morning for review and approval is the area plan budget and contract for fiscal year 2018-2019 and any subsequent amendments. these documents detail a variety of federal and state allocations that are provided in support of older american act program. the overall change from the baseline budget for 2017-2018 is an increase of $323,075 with a total allocation for phi fiscal year $5,474,830. and the take following the memo

details the fluctuation in area plan dollars for a specific program categories, along with program and staff recommendation. programs funded with area plan moneys include supportive services, congregate and home delivered nutrition and disease prevention, family caregiver assistance, ombudsman and elder abuse prevention as well as administration for these programs. the supportive services budget includes legal services and transportation, information and referral, and emergency homecare. please note that the local funds supporting these programs are not included in this table. and as mentioned in the commission memo, increased funding of $218,640 for home delivered meals represented the largest boost with supportive services and family caregiver assistance programs also seeing modest gains of $73,000 and $45,000 respectively. and the accompanies contract,

a.p.2018-19-6 has plans for the funding. with approval of this item the staff will make any appropriate modifications as needed and thank you and please let me know if you have any questions. >> thank you very much, alex. any comments or questions from the commission? >> just had one question. the disease prevention, is that the same as health promotion? i was just having a thought -- >> yes. >> thank you. >> thank you. any other comments or questions for alex? or comments or questions from the public? hearing none, call the question. all in favor. >> aye. >> any opposed? motion is carried. thank you very much. >> thank you. >> item d, requesting

authorization to enter into a new contract agreement with san francisco state university for the provision of consulting services for a community cultural center for adults with disabilities during the period of may 1, 2018, through march 31, 2019, in the amount of $99,7842 plus a 10% contingency for a total amount not to exceed $109,826. welcome to tiffany kearney. >> thank you and good morning commissioners and executive director mcspadden. this grant agreement, like the others that i have presented this fiscal year, is a product of the 2017-2018 dignity fund allocation plan. the allocation plan included strengthening services for adults with disability. to support this initiative the department is requesting approval for a grant agreement with the paul k. long horn institute on disability at san francisco state. the institute will partner with

r.n.p. associates to provide consulting services to create a strategic plan that will be used by the department to develop a community and cultural center focused on adults with disabilities and the best way in which the department can serve this community. the long horn institute is a research organization with knowledge in the field of disabilities. r and p associates is developing strategic plans for organizations. together they will conduct a thorough multi-phased process during the next 11 months and that will entail almost 1,000 hours of in-depth research, field work, and analysis. the strategic plan will identify the types of services and resources needed and the department will have a background report, an assessment report and a timeline and action plan. we are looking forward to

working with long horn institute and its partner. and i am happy to answer any questions that you may have at this time. thank you. soirk thank you. >> thank you.o. any questions or comments from the commissioners? commissioner wallenberg. >> i will try to keep it brief. it's wonderful to see that the people in the community will be empowered to engage in the process and i had a quick question regarding how we'll recruit focus group members beyond what is stated which is a survey -- flyers to draw people's attention to other engagements, surveys or in the focus groups? >> so they have as i said a multi-phased process so they will -- they're going to have a committee member that will have leaders from the disability community. and also -- also disability

scholars to sort of reach out, sort to have a wide net to do outreach to the various disability communities. does that answer your question? >> yes. >> okay, thank you. >> thank you, tiffany, can you just sort of help me to understand what is meant by a "cultural center" in this context? >> well, the department actually -- i mean, i think that it's going to be developing and assuring they want to add to. but we have gone out and visited a couple of community and cultural centers in the last few weeks. so, for instance, we were at the world institute on disability in berkeley and also the lgbt center here in san francisco. what we've seen so far is that there are places where people of that community or anyone can come and sort of be and

celebrated, if that makes sense. and also at, like, there are also -- at the ed roberts in berkeley, they had -- they had specific resources for people with disabilities. so there was like a job resource fair, there was -- there may have been a health thing, very specific. >> so i wanted to address why we're doing this. and i think that as you know, i mean, one of the things that we know is that we don't serve the community -- the disability communities as well as we serve older adults. i think that when we incorporated as the department of aging and adult services we talked a lot about, you know, having people with disabilities go to senior centers which they may or may not want to do. so some people might. but we really wanted to have something that was available for people with disabilities. and we had some initial

conversations with groups like cada which is -- i forget what it stands for -- community alliance for disability advocates and it's a group in san francisco. and the idea of having a disability cultural center came out and i think that really where people could access all kinds of different things. and people had a lot of great ideas but we wanted to -- we wanted to really have a consultant work with us to plan for it so that we're ensuring what we have in there is really what people want and need. so i'm very, very excited about this. and i look forward to the day that we can open up the doors. but we really need to plan for it so that we're incorporating people's needs and we're thinking about people, maybe 18 to 22, as well as older adults with disabilities. you know, like the whole range. >> thank you, shireen. i didn't mean to suggest that there was not a need for it, and

it was clear that we had a need. and i was perhaps being too literal on focusing on the word "cultural." there's cultural similarities, for example, that apply to ethnic groups and to the lgbtq community where i think that adults with disabilities are multicultural and to the terms that suggest a certain uniformity of culture which i think that does not apply and that's my concern. that's why i raised the question. >> so i think that the person -- the idea came from somebody who works at the mayor's office on disability who was really looking at the african american cultural center, for instance, in san francisco, and the one in berkeley that tiffany just mentioned and said, you know, it would be great to have a place where people could learn about the history of the a.d.a., and learn about the history of people with disabilities throughout time. and also to get resources. so that it's a place to celebrate people with disability and history and culture in that

sense. and then to get services and help, you know, with whatever -- whatever we decide. >> thank you. >> i think that someone from long horn would like to speak real quick. >> absolutely. >> okay, thank you. >> hi, thank you for hearing about this. i'm katherine cudlick and i'm the director and i wanted to address the issue of disability and culture in general because i know that it's something that is new for a lot of people. and as a scholar and as a scholar activist myself, one of the issues that is really interesting is that the disability community is now starting to come together thanks to understandings of history, understandings of shared political goals, all sorts of activism and scholarship has brought these groups together. so it used to be individual groups with disabilities and you had the blind people here and you had the deaf people there and you had the wheelchair riders and all of that and thanks to history and a shared political struggle these groups have been coming together more

and more. so it's a very exciting and very dynamic and interesting prospect that you're allowing us to engage with. it's really, really very exciting. >> thank you very much. any other comments or questions from the commission? okay. commissioner wallenberg. >> yes, i would like to reiterate that i'm also very excited about the prospect of this as well. i'd love to see if the commission also had a part to play in the process as the planning takes place. >> thank you. any comments or questions from the public? hearing none, call the question. offer in favor? >> aye. >> any opposed? thank you. the motion carries. item e, requesting authorization to enter into a new grant agreement with san francisco village for the provision of the village model during the period of july 1, 2018 through june 30, 2020, in the amount of $629,000 plus a

10% contingency for a total grant amount not to exceed $691,900. welcome, linda murley. >> thank you, commissioner. good morning, commissioners and the executive director mcspadden. my name is linda murley and i'm a program analyst with the office on aging. i seek your approval on two new grants for the san francisco village model in san francisco. i'd like to share a little bit about what villages are so there's a clarity of understanding. in the united states 10,000 people a day turn 65. approximately one in three people over 65 live alone. and 50% of those older than 85 live alone. the village model for aging in community is base based on the n hill model. there are 33 villages in the bay area and 60 in california, more than 200 nationally and another

150 are in development. and the concept is simple. neighbors come together and help each other out. they barter for favors and do chores for each other. sometimes remaining independent in your home can be as simple as making sure that you have clean laundry or that your car is moved to the side of the street for street cleaning days. it's just a little bit of help from your neighbor that can keep you at home and independent. and the village programs have a membership fee with the idea that this buy-in on the part of members involves them directly in what the program does. the village programs are based a lot on the programming ideas and desires of members. (please stand by).

there's an lgbtq member circle, too. they match numbers from high school kids for mening toer and sharing. one of the goals of this program is to combat agism. program offerings are always evolving and they're based on the input and curiosities of members.

a lot of these programs are healthy aging, creative expression and exploring. san francisco village was monitored in november and found compliant. may i answer any questions? >> thank you. i'm just making sure that we are really talking about agenda items e, f and g. ?aerkt -- is that correct? >> this is e, yes, commissioner. >> i think i should -- do we have to vote on them independently? individually? you just covered them. >> i just covered e. >> ok. thank you. so, any comments or questions from the commission on item e? >> i have two brief questions.

e